Submit an initial substantive post of 200-250 words (about 1 page length) to question.
Use headings for each main key point to clearly communicate to the reader the topic under discussion and leave no room for guessing. Your headings need to be Bold and aligned center-page.At least 3 References and citations should conform to the APA format.
Think of a situation that occurred at work which is, or could easily become, an ethical dilemma relative to patient education. Share this situation for discussion with your class. Be sure to omit all personal identification of the people involved. Identify the underlying ethical principle(s) involved in this situation, and develop some plausible recommendations for action.
Response#1The postings should be approximately 100 words (about 1/2 page length) and include references as indicated by the instructor. Need 2 References and citations should conform to the APA format.
Cooper’s Main Post;
An ethical dilemma encountered relative to patient care and education is a situation involving an unborn fetus and the parents. The parents were admitted and diagnosed with premature rupture of membranes at 21 weeks gestation. This gestation is considered previable, meaning inability to survive on the outside. Infants born between after 24 weeks are resuscitated regardless of the parent’s desires, and between 22-24 weeks, there are extensive discussions between the neonatal intensive care team and the high risk physicians, and a care plan is developed. When there is someone less than 22 weeks, the prognosis is poor, but after discussion with high risk physician, a care plan can be developed. As stated by Jazayeri, (2016), delivery is appropriate when the parents are concerned about their own risks prior to 20 weeks, or expectant outpatient management may be appropriate if the parents are well informed and educated about the risks. In this situation, the physician had a long discussion with the parents, options were given such as expectant management in outpatient setting until viability with close monitoring of vital signs versus induction of labor to decrease risk of infection, or problems to mother. After a lengthy discussion, the parents elected the induction of labor. The nurse assigned to care for the family, refused based on he own personal religious beliefs. The nurse did not feel comfortable providing an induction of labor which will end with a fetus unable to survive on the outside. The charge nurse was able to change assignments so that the parents were not made to feel uncomfortable with their decision, and the nurse was not uncomfortable providing appropriate medical care and treatment. The parents were able to be provided with appropriate education, options, and allowed to make informed decisions. It is great that we are able to provide, and allow flexibility among our peers to allow for changes as needed. It would have been unfortunate if there was the inability to allow for the changes in nurses as it could have affected the parents care and education. As stated by Leuter, Petrucci, Marrei, Tabassi, & Lancia, (2012), nurses are sometimes unable to influence the patient care process, and must adapt to others’ decisions with an attitude of conformism and lack of autonomy. It a nurse, patient, or family is unhappy with care that is being provided they may seek assistance from a hospital ethics committee, which can provide additional assistance. Nurses are encouraged to gain more education and training on the importance and management of ethics, as it will increase their knowledge and expertise.
Jazayeri, A. (2016). Premature rupture of membranes. Medscape. Retrieved from www.medscape.com/article261137
Leuter, C., Petrucci, C., Mattei, A., Tabassi, G. & Lancia, L. (2012). Ethical difficulties in nursing, educational needs and attitudes about using ethics resources. Nursing Ethics. Vol. 20, pp. 348-358. DOI: 10.1177/0969733012455565
Response#2The postings should be approximately 100 words (about 1/2 page length) and include references as indicated by the instructor. Need 2 References and citations should conform to the APA format.
I feel like ethical dilemmas happen on a daily basis at work. As nurses we are always being pulled from on thing to another that we question the quality of care we are giving, and we always wonder if it is enough or if we are leaving our patients without things that we could give to them to help them if their was more time in a shift. When I work on the oncology floor I feel like I encounter the some religions that do not believe in getting blood products. I think this is very serious that we are able to give them medications to fight cancer yet when they end up in a crisis the families argue their belief that they do not want blood products which could save the persons life. I have a hard time dealing with this and it is hard to swallow as a nurse. If I put what I feel is ethically right into how I educate the patient it just would upset the patient more because they feel that is not acceptable for what they believe in. In this situation I just had to continue to advocate for what the patient wanted and notify the doctor. When patients are in need of a transfusion due to a severe injury of loss of blood we know they have a poor outcome without treatment (Finfer, 1994). Once the doctor reached the floor they were able to have a discussion with the patient and work on how the patient wanted the hospital to continue the care that we were to provide. I work as a float nurse so I was never able to get back to that floor while that patient was here. That is sometimes hard about my job because you battle so much with your own beliefs that when you are trying to help save someone it makes it a challenge, but in the end we know we need to do what the patient and family request and is in their wishes. According to Bading (2014), “An ethical dilemma occurs when options include conflicting moral claims…Conflicting moral claims can be said to occur, for example, between obligations, principles, duties, rights, loyalties, and so forth” (p. 153). It is a huge concern to staff because we have a license to protect and not treating a patient because of their own wishes can be hard to focus on.
Bading, A. (2014, April 15). An Ethical Dilemma: Jehovah’s Witnesses’ Refusal of Blood Pr. Retrieved August 13, 2017, from https://prezi.com/xg2a7nbnxi-g/an-ethical-dilemma-…
Finfer, S., Howell, S., Miller, J., Willett, K., & Wilson-MacDonald, J. (1994, May 28). Managing patients who refuse blood transfusions: an ethical dilemma: Major trauma in two patients refusing blood transfusion. Retrieved August 13, 2017, from http://www.bmj.com/content/308/6941/1423
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